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Miller AS, Aisenbrey S, Kimmel DM. Awareness and Performance of Testicular Self-Examinations: An Analysis of Social and Cultural Barriers to Cancer Screenings in a US Orthodox Jewish Community. JOURNAL OF RELIGION AND HEALTH 2022; 61:4398-4419. [PMID: 35913643 DOI: 10.1007/s10943-022-01623-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 07/25/2022] [Indexed: 06/15/2023]
Abstract
This study assessed barriers to testicular self-examination (TSE) performance in a population of US Modern Orthodox Jewish undergraduate students. Participants answered questionnaires that measured their TSE performance and their attitudes toward TSEs. Out of 541 participants, 301 (55.6%) had heard of TSEs, 177 (32.7%) had ever performed a TSE, and 21 (3.9%) performed TSEs once per month in the past year. Significant positive associations of TSE awareness and practice included self-efficacy and engagement with medical professionals vis-à-vis testicular health. Shame and adherence to certain religious beliefs negatively correlated with awareness and performance of TSEs. The results demonstrate medical professionals' integral role in educating young individuals about TSEs.
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Affiliation(s)
- Amitai S Miller
- Harvard Medical School, 25 Shattuck St., Boston, MA, 02115, USA.
- Department of Sociology, Yeshiva University, 500 W. 185th St., New York, NY, 10033, USA.
| | - Silke Aisenbrey
- Department of Sociology, Yeshiva University, 500 W. 185th St., New York, NY, 10033, USA
| | - Daniel M Kimmel
- Department of Sociology, Yeshiva University, 500 W. 185th St., New York, NY, 10033, USA
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2
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McGowan B, Grace H, Beste D, Frey S, Bridges J, Sun J, Nair RG. Factors influencing oral cancer screening preferences in patients attending Tertiary Care University Oral Health Clinic. Aust Dent J 2021; 67:55-68. [PMID: 34706067 DOI: 10.1111/adj.12881] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/17/2021] [Revised: 10/06/2021] [Accepted: 10/17/2021] [Indexed: 11/27/2022]
Abstract
BACKGROUND Understanding factors that influence patients' preferences towards oral cancer (OC) screening is imperative to provide high-quality evidence-based OC screening interventions that can be targeted for population-level uptake. This study determined adult patients' knowledge and awareness of OC, and how health behaviours influenced their preferences towards OC screening. METHODS This cross-sectional study used a 42-point questionnaire, between February and May 2020 using a combination of in-person and telephone interviews. Chi-square test and multiple logistic regression analysis were applied to confounding factors that returned statistical significance against OC knowledge and awareness. Significance of P < 0.05 was accepted. RESULTS Sixty-eight (38.6%) participants out of a total 176 had good knowledge of OC and 89 (50.6%) had good awareness. A total of 31.8% reported preference for OC screening by a general dental practitioner (GDP) over a general medical practitioner (GMP). Majority (72.7%) reported acceptance of OC screening at their next GDP visit. Ages 56-70 (OR = 0.357, 95% CI) and previous smokers (OR = 0.336, 95% CI) significantly influenced screening preferences. Knowledge of risk factors did not significantly influence OC screening preferences (χ2 = 3.178, P = 0.075). CONCLUSIONS Significant gaps in OC knowledge, screening and role of GDPs exist with smoking history and age influencing OC screening preferences.
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Affiliation(s)
- B McGowan
- School of Medicine and Dentistry, Griffith University, Gold Coast, Queensland, Australia
| | - H Grace
- School of Medicine and Dentistry, Griffith University, Gold Coast, Queensland, Australia
| | - D Beste
- School of Medicine and Dentistry, Griffith University, Gold Coast, Queensland, Australia
| | - S Frey
- School of Medicine and Dentistry, Griffith University, Gold Coast, Queensland, Australia
| | - J Bridges
- School of Medicine and Dentistry, Griffith University, Gold Coast, Queensland, Australia
| | - J Sun
- School of Medicine and Dentistry, Griffith University, Gold Coast, Queensland, Australia.,Menzies Health Institute of Queensland, Gold Coast, Queensland, Australia
| | - R G Nair
- School of Medicine and Dentistry, Griffith University, Gold Coast, Queensland, Australia.,Menzies Health Institute of Queensland, Gold Coast, Queensland, Australia.,Haematology and Oncology, Gold Coast University Hospital, Queensland Health, Gold Coast, Queensland, Australia
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3
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Peles C, Shloim N, Rudolf MCJ. "Over-preoccupation with healthy food is perceived as worship of the body": Food, culture and beliefs in Ultra-Orthodox Jewish families. Appetite 2021; 167:105621. [PMID: 34363899 DOI: 10.1016/j.appet.2021.105621] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2021] [Revised: 06/28/2021] [Accepted: 08/01/2021] [Indexed: 11/30/2022]
Abstract
BACKGROUND Eating behaviours vary by culture and religion, and an understanding of attitudes and practices are essential for providing culturally competent nutritional guidance. The Ultra-orthodox Jewish community is characterized by poor diet, high rates of obesity, anemia and diabetes. This study aimed to acquire insights that could influence the promotion of healthier eating in the Ultra-orthodox and other closed religious communities, particularly regarding children's eating habits and the food they consume. METHODS In depth face-to-face recorded interviews were conducted with 20 information-rich participants: religious leaders, opinion leaders and education/health professionals from Gur and Chabad, two Ultra-orthodox Jewish religious communities in Israel. The focus was on exploring young family eating behaviours and perceived challenges to encouraging healthier nutrition in the community. Interviews were transcribed and thematic analysis employed using grounded theory. RESULTS Seven themes were identified with findings that had clear implications for the promotion of health at both the community and individual level. These included spiritual aspects of eating, deficits in knowledge and awareness, less relevance of kashrut than previously thought, the centrality of motherhood and family meals, the quality of food in educational institutions, the significance and sensitivity of Sabbath and festive meals and pragmatic considerations. DISCUSSION AND CONCLUSIONS By illuminating attitudes and behaviors, the study broadens and enhances our understanding of the Ultra-orthodox communities' perspectives on eating behaviours in the family. The findings have the potential to contribute to strengths-based health promotion for children's nutrition. Recommendations regarding culturally competent guidance and implications for other secluded religious communities are discussed.
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Affiliation(s)
- C Peles
- Department of Population Health, Azrieli Faculty of Medicine, Safed, Israel.
| | - N Shloim
- School of Healthcare, University of Leeds, UK.
| | - M C J Rudolf
- Department of Population Health, Azrieli Faculty of Medicine, Safed, Israel.
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4
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Pinchas-Mizrachi R, Solnica A, Daoud N. Religiosity Level and Mammography Performance Among Arab and Jewish Women in Israel. JOURNAL OF RELIGION AND HEALTH 2021; 60:1877-1894. [PMID: 33123970 DOI: 10.1007/s10943-020-01097-2] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Accepted: 09/26/2020] [Indexed: 06/11/2023]
Abstract
This study compared mammography performance by religiosity level among Arab (weighted n = 103,347) and Jewish women (weighted n = 757,956) in Israel aged 50-74, using data from the 2017 National Social Survey of the Central Bureau of Statistics. In the Survey, women were asked regarding mammogram performance in the 2 years prior. Mammography performance was 78.2% among Jewish women and 64.8% among Arab women. Among Jewish women, self-identifying as "Very religious" and "Somewhat religious" was associated with lower mammography performance compared to being 'non-religious.' The association was in the opposite direction among Arab women. When tailoring interventions to increase mammography performance among ethnically diverse groups, planners should consider women's religiosity.
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Affiliation(s)
- Ronit Pinchas-Mizrachi
- School of Public Health, Ben-Gurion University of the Negev, Beer-Sheva, Israel.
- Ramat-Gan Academic College Israel, Jacob Arnon 5/8, 9371705, Jerusalem, Israel.
- Department of Public Health, Faculty of Health Sciences, Ben-Gurion University of the Negev, P.O. Box 653, 84015, Beer Sheva, Israel.
| | - Amy Solnica
- Department of Obstetrics and Gynecology, Hadassah-Hebrew University Medical Center, Jerusalem, Israel
| | - Nihaya Daoud
- School of Public Health, Ben-Gurion University of the Negev, Beer-Sheva, Israel
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5
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Özkan İ, Taylan S. Barriers to women’s breast cancer screening behaviors in several countries: A meta-synthesis study. Health Care Women Int 2020; 42:1013-1043. [DOI: 10.1080/07399332.2020.1814777] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/16/2022]
Affiliation(s)
- İlknur Özkan
- Kumluca Faculty of Health Sciences, İnternal Medicine Nursing Department, Akdeniz University, Kumluca, Antalya, Turkey
| | - Seçil Taylan
- Kumluca Faculty of Health Sciences, Surgical Nursing Department, Akdeniz University, Kumluca, Antalya, Turkey
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6
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Simhi M, Yoselis A, Sarid O, Cwikel J. Hidden Figures: Are Ultra-Orthodox Jewish Women Really so Different When it Comes to Health Care? JOURNAL OF RELIGION AND HEALTH 2020; 59:1398-1420. [PMID: 31218549 DOI: 10.1007/s10943-019-00862-2] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
Incorporating the needs of at-risk populations into national health care initiatives is essential. Israel has identified ultra-Orthodox Jewish, or Haredi, women, as at risk of increased morbidity and mortality, yet actual data on this insular community are lacking. We reviewed published research on Israeli Haredi women's health status, behaviors and health care access and examined methodologies. Of 273 articles identified, 14 publications and four government reports were included. More research is needed on this community, essential not only to Israeli health care policy, but to that of the USA and the UK, who share the largest percentages of Haredi Jews.
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Affiliation(s)
- Meital Simhi
- Spitzer Department of Social Work and the Center for Women's Health Studies and Promotion, Ben Gurion University of the Negev, POB 653, 84105, Beer Sheva, Israel.
| | - Aviva Yoselis
- Health Advize, POB 383, 90651, Mitzpe Yericho, Israel
| | - Orly Sarid
- Spitzer Department of Social Work and the Center for Women's Health Studies and Promotion, Ben Gurion University of the Negev, POB 653, 84105, Beer Sheva, Israel
| | - Julie Cwikel
- Spitzer Department of Social Work and the Center for Women's Health Studies and Promotion, Ben Gurion University of the Negev, POB 653, 84105, Beer Sheva, Israel
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7
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Bressler T, Dambra-Candelaria LM, Spatz DL. Informal Milk Sharing for the Hospitalized at-Risk Infant in the Ultra-Orthodox-Haredi Jewish Community in the United States. Breastfeed Med 2020; 15:335-340. [PMID: 32366116 DOI: 10.1089/bfm.2019.0216] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
The process of human milk donation and sharing for the promotion of infant health is a phenomenon of interest as it directly affects children's health and well-being. Although its prevalence is currently unknown, informal sharing of human milk is occurring across the United States. The U.S. Food and Drug Administration recommends against informal sharing of human milk. However, the Ultra-Orthodox (Haredi) Orthodox Jewish population, who strictly observes Jewish laws and often consults with rabbis before making medical decisions, is known to donate and obtain milk through informal sharing. The objective of this study was to explore the lived experience of informal donation from the perspective of Ultra-Orthodox mothers from the Northeastern region of the United States who engaged in milk sharing to support hospitalized at-risk infants. Women were interviewed by an Orthodox Jewish member of the team, using a semistructured interview guide. Informal milk sharing was regarded as a positive empowering experience. Themes which illuminate the phenomena of milk sharing include faith, mistrust of the medical establishment, a strong reliance on social connectedness, and importance of sacred cultural traditions. Health care providers need to be aware of these specific needs to provide culturally sensitive care for safer milk sharing practices in cloistered and faith-based communities.
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Affiliation(s)
- Toby Bressler
- Oncology and Clinical Quality, The Mount Sinai Health System, New York, New York, USA
| | | | - Diane L Spatz
- Nurse Scientist Lactation Program, The Children's Hospital of Philadelphia (CHOP), University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
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Alvord TW, Marriott LK, Nguyen PT, Shafer A, Brown K, Stoller W, Volpi JL, Vandehey-Guerrero J, Ferrara LK, Blakesley S, Solomon E, Kuehl H, Palma AJ, Farris PE, Hamman KJ, Cotter M, Shannon J. Public perception of predictive cancer genetic testing and research in Oregon. J Genet Couns 2020; 29:259-281. [PMID: 32220044 DOI: 10.1002/jgc4.1262] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/14/2019] [Revised: 02/25/2020] [Accepted: 02/25/2020] [Indexed: 12/24/2022]
Abstract
The potential for using widespread genetic testing to inform health care has become a viable option, particularly for heritable cancers. Yet, little is known about how to effectively communicate the benefits and risks of both personal genetic testing and participation in biorepositories that aid scientific advancements. Nationwide efforts are engaging communities in large genetic studies to better estimate the population-wide prevalence of heritable cancers but have been met with hesitance or declination to participate in some communities. To successfully engage an Oregon population in longitudinal research that includes predictive genetic testing for pathogenic or likely pathogenic variants associated with an increased risk for cancer, researchers conducted 35 focus groups (two of which were held in Spanish) in 24 of Oregon's 36 counties to better understand knowledge and attitudes related to genetic testing and willingness to participate in longitudinal genetic research. A total of 203 adults (mean = 45.6 years; range 18-88), representing a range of education levels and prior knowledge of genetic research, participated in the focus groups. The majority (85%) of participants reported personal or family diagnoses of cancer (e.g., self, family, friends). A majority (87%) also reported a strong interest in cancer genetic testing and receiving genetic information about themselves. Nearly all focus groups (94%, 33 of 35 sites) included participant discussion citing their families (e.g., children, close relatives, and extended family members) as key motivators for participation in genetic research. For example, participants reported interest in increasing personal knowledge about their own and their families' cancer risks in order to respond proactively, if a pathogenic variant was found. While most focus groups (94%, 33 of 35 sites) included participant discussion describing barriers to predictive genetic, testing such as concerns about outcomes, the desire to learn about health risks in oneself mitigated or outweighed those fears for many participants. Other commonly reported concerns were related to potential mistrust of insurance companies, researchers, or institutions, or lack of knowledge about genetics, genetic testing, or genetic research. Participants, particularly in rural areas, highlighted critical factors for research recruitment, such as trust, personal interaction, public education about genetic research, and clear communication about study goals and processes. Our statewide findings reflect that public interest in predictive cancer genetic testing and cancer genetic research can surpass lack of knowledge of the complex topics, particularly when benefits for self and family are emphasized and when study considerations are well articulated.
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Affiliation(s)
- Teala W Alvord
- OHSU-PSU School of Public Health, Oregon Health & Science University, Portland, OR, USA.,BUILD EXITO Trainee, Portland State University, Portland, OR, USA
| | - Lisa K Marriott
- OHSU-PSU School of Public Health, Oregon Health & Science University, Portland, OR, USA.,Oregon Clinical and Translational Research Institute, Oregon Health & Science University, Portland, OR, USA
| | - Phuc T Nguyen
- OHSU-PSU School of Public Health, Oregon Health & Science University, Portland, OR, USA.,BUILD EXITO Trainee, Portland State University, Portland, OR, USA
| | - Autumn Shafer
- School of Journalism and Communication, University of Oregon, Eugene, OR, USA
| | - Kim Brown
- Oregon Clinical and Translational Research Institute, Oregon Health & Science University, Portland, OR, USA
| | - Wesley Stoller
- Knight Cancer Institute, Oregon Health & Science University, Portland, OR, USA
| | - Jennifer L Volpi
- Oregon Clinical and Translational Research Institute, Oregon Health & Science University, Portland, OR, USA
| | - Jill Vandehey-Guerrero
- Oregon Clinical and Translational Research Institute, Oregon Health & Science University, Portland, OR, USA
| | - Laura K Ferrara
- Oregon Clinical and Translational Research Institute, Oregon Health & Science University, Portland, OR, USA
| | - Steven Blakesley
- Oregon Clinical and Translational Research Institute, Oregon Health & Science University, Portland, OR, USA
| | - Erin Solomon
- Oregon Clinical and Translational Research Institute, Oregon Health & Science University, Portland, OR, USA
| | - Hannah Kuehl
- Oregon Clinical and Translational Research Institute, Oregon Health & Science University, Portland, OR, USA
| | - Amy J Palma
- Knight Cancer Institute, Oregon Health & Science University, Portland, OR, USA
| | - Paige E Farris
- OHSU-PSU School of Public Health, Oregon Health & Science University, Portland, OR, USA
| | - Kelly J Hamman
- Department of Molecular and Medical Genetics, Oregon Health & Science University, Portland, OR, USA
| | - Madisen Cotter
- BUILD EXITO Trainee, Portland State University, Portland, OR, USA
| | - Jackilen Shannon
- OHSU-PSU School of Public Health, Oregon Health & Science University, Portland, OR, USA.,Oregon Clinical and Translational Research Institute, Oregon Health & Science University, Portland, OR, USA.,Knight Cancer Institute, Oregon Health & Science University, Portland, OR, USA
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9
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Stangl AL, Earnshaw VA, Logie CH, van Brakel W, C Simbayi L, Barré I, Dovidio JF. The Health Stigma and Discrimination Framework: a global, crosscutting framework to inform research, intervention development, and policy on health-related stigmas. BMC Med 2019; 17:31. [PMID: 30764826 PMCID: PMC6376797 DOI: 10.1186/s12916-019-1271-3] [Citation(s) in RCA: 547] [Impact Index Per Article: 109.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/01/2018] [Accepted: 01/23/2019] [Indexed: 12/18/2022] Open
Abstract
Stigma is a well-documented barrier to health seeking behavior, engagement in care and adherence to treatment across a range of health conditions globally. In order to halt the stigmatization process and mitigate the harmful consequences of health-related stigma (i.e. stigma associated with health conditions), it is critical to have an explicit theoretical framework to guide intervention development, measurement, research, and policy. Existing stigma frameworks typically focus on one health condition in isolation and often concentrate on the psychological pathways occurring among individuals. This tendency has encouraged a siloed approach to research on health-related stigmas, focusing on individuals, impeding both comparisons across stigmatized conditions and research on innovations to reduce health-related stigma and improve health outcomes. We propose the Health Stigma and Discrimination Framework, which is a global, crosscutting framework based on theory, research, and practice, and demonstrate its application to a range of health conditions, including leprosy, epilepsy, mental health, cancer, HIV, and obesity/overweight. We also discuss how stigma related to race, gender, sexual orientation, class, and occupation intersects with health-related stigmas, and examine how the framework can be used to enhance research, programming, and policy efforts. Research and interventions inspired by a common framework will enable the field to identify similarities and differences in stigma processes across diseases and will amplify our collective ability to respond effectively and at-scale to a major driver of poor health outcomes globally.
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Affiliation(s)
- Anne L Stangl
- International Center for Research on Women, 1120 20th St. NW, Suite 500N, Washington, DC, 20036, USA.
| | - Valerie A Earnshaw
- Department of Human Development and Family Sciences, University of Delaware, Newark, DE, USA
| | - Carmen H Logie
- Factor-Inwentash Faculty of Social Work, University of Toronto and Women's College Research Institute, Women's College Hospital, Toronto, Ontario, Canada
| | | | - Leickness C Simbayi
- Human Sciences Research Council & Department of Psychiatry & Mental Health, University of Cape Town, Cape Town, South Africa
| | - Iman Barré
- International Center for Research on Women, 1120 20th St. NW, Suite 500N, Washington, DC, 20036, USA
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Vahabi M, Lofters A, Kim E, Wong JPH, Ellison L, Graves E, Glazier RH. Breast cancer screening utilization among women from Muslim majority countries in Ontario, Canada. Prev Med 2017; 105:176-183. [PMID: 28916289 DOI: 10.1016/j.ypmed.2017.09.008] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/07/2017] [Revised: 08/11/2017] [Accepted: 09/04/2017] [Indexed: 01/26/2023]
Abstract
Breast cancer screening disparities continue to prevail with immigrant women being at the forefront of the under screened population. There is a paucity of knowledge about the role of religious affiliation or cultural orientation on immigrant women's cancer screening uptake. This study examined differences in uptake of breast cancer screening among women from Muslim and non- Muslim majority countries in Ontario, Canada. A cohort of 1,851,834 screening-eligible women living in Ontario during April 1, 2013 to March 31, 2015 was created using linked health and social administrative databases. The study found that being born in a Muslim majority country was associated with lower breast cancer screening uptake after adjusting for region of origin, neighbourhood income, and primary care-related factors. However, screening uptake in Muslim majority countries varied by world region with the greatest differences found in Sub-Saharan Africa and South Asia. Screening uptake was lower for women who had no primary care provider, were in a traditional fee-for service model of primary care, had a male physician, had an internationally trained physician, resided in a low income neighbourhood, and entered Canada under the family class of immigration. Religion may play a role in screening uptake, however, the variation in rates by regions of origin, immigration class, and access to primary care providers alludes to confluence of socio-demographic, cultural beliefs and practices, immigration trajectories and system level factors. Facilitating access for immigrant women to regular primary care providers, particularly female providers and enrollment in primary care models could enhance screening uptake.
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Affiliation(s)
- Mandana Vahabi
- Faculty of Community Services, Daphne Cockwell School of Nursing, Ryerson University, Canada; Graduate Program in Immigration and Settlement Studies, Ryerson University, Canada; Ryerson Centre for Global Health and Health Equity, Canada.
| | - Aisha Lofters
- Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Canada; Department of Family and Community Medicine, University of Toronto, Canada; Department of Family and Community Medicine, St. Michael Hospital, Canada; Institute for Clinical Evaluative Sciences, Canada; Dalla Lana School of Public Health, University of Toronto, Canada.
| | - Eliane Kim
- Institute for Clinical Evaluative Sciences, Canada.
| | - Josephine Pui-Hing Wong
- Faculty of Community Services, Daphne Cockwell School of Nursing, Ryerson University, Canada.
| | - Lisa Ellison
- Institute for Clinical Evaluative Sciences, Canada.
| | - Erin Graves
- Institute for Clinical Evaluative Sciences, Canada.
| | - Richard H Glazier
- Centre for Urban Health Solutions, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Canada; Department of Family and Community Medicine, University of Toronto, Canada; Department of Family and Community Medicine, St. Michael Hospital, Canada; Institute for Clinical Evaluative Sciences, Canada; Dalla Lana School of Public Health, University of Toronto, Canada.
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11
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Bressler T, Popp B. Orthodox Jewish Thought Leaders' Insights Regarding BRCA Mutations: A Descriptive Study. J Oncol Pract 2016; 13:e303-e309. [PMID: 27875073 DOI: 10.1200/jop.2016.015503] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/24/2023] Open
Abstract
PURPOSE To examine the factors that influence Orthodox Jewish (OJ) thought leaders' perceptions of genetic counseling and testing for BRCA mutations. The specific aims of this study were to describe (1) OJ thought leaders' views on genetic counseling and testing for BRCA mutation status and (2) insights into this high-risk faith-based minority group and their beliefs about counseling and testing for BRCA mutations. METHODS In-depth focus groups and demographic questionnaires were used in this descriptive, qualitative study, which was performed in the cancer center of a 750-bed community teaching hospital in Brooklyn, New York. Participants included 17 OJ thought leaders in a large metropolitan area in the northeastern United States. RESULTS Four themes emerged that describe the key components of the views of OJ thought leaders regarding genetic counseling and testing for BRCA mutation carriers. There was a high level of concern about cancer, recognition that community norms shift, acknowledgment of the role of the rabbi in medical decision making, and concern about the balance between determinism and personal responsibility in utilizing this health care service. CONCLUSION The identification of social contributors to the utilization of genetic counseling and testing, as well as identification of solutions to optimize utilization of BRCA testing, supports the philosophic premise or conceptual model that faith-based leaders are crucial to the promotion of culturally sensitive health care delivery. Incorporating faith-based leaders early in health care strategic planning and implementation can translate into communities better utilizing health-related services.
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Affiliation(s)
| | - Beth Popp
- Maimonides Medical Center, Brooklyn, NY
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12
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Beyond a Paycheck: The Influence of Workforce Participation on Women’s Cancer Screening in Turkey. SEX ROLES 2016. [DOI: 10.1007/s11199-016-0611-4] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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13
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Dost F, Do L, Farah CS. Lesion Evaluation, Screening and Identification of Oral Neoplasia Study: an assessment of high-risk Australian populations. Community Dent Oral Epidemiol 2015; 44:64-75. [DOI: 10.1111/cdoe.12191] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2015] [Accepted: 07/12/2015] [Indexed: 12/19/2022]
Affiliation(s)
- Fatima Dost
- The University of Queensland Centre for Clinical Research; Herston Qld Australia
| | - Loc Do
- Australian Research Centre for Population Oral Health; The University of Adelaide; Adelaide SA Australia
| | - Camile S. Farah
- The University of Queensland Centre for Clinical Research; Herston Qld Australia
- School of Dentistry; Australian Centre for Oral Oncology Research & Education; The University of Western Australia; Nedlands WA Australia
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14
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Gonen A, Sharon D, Lev-Ari L, Strauss E, Segev R. The Impact of Nursing Students’ Cultural Diversity on the Intention and Attitudes Toward the Use of Information Technology. J Transcult Nurs 2015; 27:302-10. [DOI: 10.1177/1043659615581558] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
This research highlights the evidences that: The greater the threat, the lower the attitude toward information technology is, and the greater the sense of challenge, the greater self-efficacy is. Innovativeness was found to be a behavioral intention predictor in two groups, secular Jews and Arabs. This study provides nurses and nurse educators with some valuable insights about how culture, religion, and education may influence nursing students’ attitudes toward information technology.
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Affiliation(s)
- Ayala Gonen
- Nursing Department, Ruppin Academic Center, Emeq-Hefer, Israel
| | - Dganit Sharon
- Nursing Department, Ruppin Academic Center, Emeq-Hefer, Israel
| | - Lilac Lev-Ari
- Psychology Department, Ruppin Academic Center, Emeq-Hefer, Israel
| | - Ester Strauss
- Nursing Department, Ruppin Academic Center, Emeq-Hefer, Israel
| | - Ronen Segev
- Nursing Department, Ruppin Academic Center, Emeq-Hefer, Israel
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